MEDICAID – Amends existing law to revise provisions regarding Medicaid eligibility expansion.

LEGISLATURE
OF
THE
STATE
OF
IDAHO
Sixty-eighth
Legislature
Second
Regular
Session
-
2026
IN
THE
HOUSE
OF
REPRESENTATIVES
HOUSE
BILL
NO.
913
BY
WAYS
AND
MEANS
COMMITTEE
AN
ACT
1
RELATING
TO
MEDICAID;
AMENDING
SECTION
56
-
267,
IDAHO
CODE,
TO
REVISE
PROVI
-
2
SIONS
REGARDING
MEDICAID
ELIGIBILITY
EXPANSION;
AND
DECLARING
AN
EMER
-
3
GENCY.
4
Be
It
Enacted
by
the
Legislature
of
the
State
of
Idaho:
5
SECTION
1.
That
Section
56
-
267,
Idaho
Code,
be,
and
the
same
is
hereby
6
amended
to
read
as
follows:
7
56
-
267.
MEDICAID
ELIGIBILITY
EXPANSION.
(1)
Notwithstanding
any
pro
-
8
vision
of
law
or
federal
waiver
to
the
contrary
Except
as
provided
by
sub
-
9
section
(6)
of
this
section
,
the
state
shall
amend
its
state
plan
to
expand
10
medicaid
eligibility
to
include
those
persons
under
sixty
-
five
(65)
years
of
1
1
age
whose
modified
adjusted
gross
income
is
one
hundred
thirty
-
three
percent
12
(133%)
of
the
federal
poverty
level
or
below
and
who
are
not
otherwise
eligi
-
13
ble
for
any
other
coverage
under
the
state
plan,
in
accordance
with
sections
14
1902(a)(10)(A)(i)(VIII)
and
1902(e)(14)
of
the
social
security
act.
15
(2)
No
later
than
ninety
(90)
days
after
approval
of
this
act,
the
16
department
shall
submit
any
necessary
state
plan
amendments
to
the
United
17
States
department
of
health
and
human
services,
centers
for
medicare
and
18
medicaid
services
to
implement
the
provisions
of
this
section.
The
depart
-
19
ment
is
required
and
authorized
to
take
all
actions
necessary
to
implement
20
the
provisions
of
this
section
as
soon
as
practicable.
21
(3)
Eligibility
for
medicaid
as
described
in
this
section
shall
not
be
22
delayed
if
the
centers
for
medicare
and
medicaid
services
fail
to
approve
any
23
waivers
of
the
state
plan
for
which
the
department
applies,
nor
shall
such
24
eligibility
be
delayed
while
the
department
is
considering
or
negotiating
25
any
waivers
to
the
state
plan.
The
department
shall
not
implement
any
waiver
26
that
would
result
in
a
reduction
in
federal
financial
participation
for
per
-
27
sons
identified
in
subsection
(1)
of
this
section
below
the
ninety
percent
28
(90%)
commitment
described
in
section
1905(y)
of
the
social
security
act.
29
(4)
If
section
1905(y)
of
the
social
security
act
is
held
unlawful
or
30
unconstitutional
by
the
United
States
supreme
court,
then
the
legislature
31
shall
declare
this
section
to
be
null,
void,
and
of
no
force
and
effect.
32
(5)
If
federal
financial
participation
for
persons
identified
in
sub
-
33
section
(1)
of
this
section
is
reduced
below
the
ninety
percent
(90%)
commit
-
34
ment
described
in
section
1905(y)
of
the
social
security
act,
then
the
senate
35
and
house
of
representatives
health
and
welfare
committees
shall,
as
soon
36
as
practicable,
review
the
effects
of
such
reduction
and
make
a
recommenda
-
37
tion
to
the
legislature
as
to
whether
medicaid
eligibility
expansion
should
38
remain
in
effect.
The
review
and
recommendation
described
in
this
subsec
-
39
tion
shall
be
conducted
by
the
date
of
adjournment
of
the
regular
legisla
-
40
tive
session
following
the
date
of
reduction
in
federal
financial
partici
-
41
pation.
Notwithstanding
any
other
provision
of
law
to
the
contrary,
if
the
42

2
reduction
in
federal
financial
participation
occurs
outside
of
a
state
leg
-
1
islative
session,
the
department
shall
take
any
action
necessary
to
offset
2
the
increase
in
state
funding,
including
but
not
limited
to
reductions
in
3
provider
payment
rates
or
elimination
of
optional
benefits.
Such
actions
4
shall
be
taken
until
such
time
as
the
state
legislature
may
convene
and
de
-
5
termine
a
proper
course
of
action.
6
(6)
No
later
than
December
31,
2026,
the
department
shall
implement
7
the
community
engagement
requirements
established
pursuant
to
42
U.S.C.
8
1396a(xx).
After
the
community
engagement
requirements
have
been
imple
-
9
mented:
10
(a)
No
person
shall
be
enrolled
in
medicaid
pursuant
to
this
section
un
-
1
1
less
such
person
demonstrates
compliance
with
the
community
engagement
12
requirements
for
the
three
(3)
consecutive
months
immediately
preced
-
13
ing
the
month
during
which
the
person
applies;
and
14
(b)
The
department
shall
disenroll
from
medicaid
any
person
who
is
cur
-
15
rently
enrolled
pursuant
to
this
section
who
is
unable
to
demonstrate
16
compliance
with
the
community
engagement
requirements.
17
SECTION
2.
An
emergency
existing
therefor,
which
emergency
is
hereby
18
declared
to
exist,
this
act
shall
be
in
full
force
and
effect
on
and
after
its
19
passage
and
approval.
20